Roth, Robert Stephan
Roth, Robert Stephan is an individual health care provider with primary practice located at 2647 Box Canyon Dr , Las Vegas NV 89128-0450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Roth, Robert Stephan can be contacted via phone (702) 363-5575.Contact Information
Primary practice address
2647 Box Canyon Dr
Las Vegas NV 89128-0450
Phone: (702) 363-5575
Fax: (702) 646-1727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 8797 | Nevada |
Profile Details
| NPI number | 1306843883 |
|---|---|
| LBN Legal business name | Roth, Robert Stephan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Aug 31st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306843883 | NPPES |
| Nevada | Other | 8797 | LICENSE # |
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